| Rome Family Dental, Llc | |
|
21 Professional Ct Sw Rome GA 30165-2844 | |
| (706) 232-1923 | |
| Not Available |
| Full Name | Rome Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 Professional Ct Sw, Rome, Georgia |
| Authorized Official Name and Position | Scott Scharnhorst (PRESIDENT) |
| Authorized Official Contact | 5406290014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rome Family Dental, Llc 21 Professional Ct Sw Rome GA 30165-2844 Ph: (706) 232-1923 | Rome Family Dental, Llc 21 Professional Ct Sw Rome GA 30165-2844 Ph: (706) 232-1923 |
| NPI Number | 1003484593 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003484593 | NPI | - | NPPES |
| 1457613341 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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